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Paediatric seminar > ECEB > Flashcards

ECEB Flashcards

1
Q

Components of Helping babies survive program

A

Helping Babies Breathe
Essential Care for Every Baby
Essential Care for Small Babies

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2
Q

Definition of ECEB

A

Essential Care for Every Baby is a time-related activity, that every newborn irrespective of location should get within the first 24 hours of life.

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3
Q

Which category of babies and mothers are they done for

A

Only WELL babies and mothers

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4
Q

From birth to first 60 minute of life

A

Uninteruptered skin-to-skin carre
Initiation of breastfeeding
Monitor breathing every 15 mins
Feeling of temperature every 15 mins

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5
Q

From 60th min - 90 min

A

Prevention of disease

  • Eye care
  • Cord care
  • Vit K adminstration

Assess

  • Axillary temperature
  • Weighing baby
  • Neonatal examination
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6
Q

Breastfeeding cues

A 
Opens eyes
Baby’s head slightly back
Seeks for breast
Opens mouth wide
Makes suckling sounds
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7
Q

Common organisms causing neonatal eye infections

A

Gonococci, Staphylococcus aureus and Chlamydia.

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8
Q

Common eyedrops used

A

Gentamycin eye drops
Ofloxacin
Ciprofloxacin eye drops or ointment.

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9
Q

Why chloramphenicol is not used

A

Chloramphenicol causes gray baby syndrome characterized by hemodynamic collapse, abdominal distension and ashen-gray skin discoloration in neonates

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10
Q

Which agent is used for cord care

A

Chlorhexidine

Methylated spirit

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11
Q

Where Vit K is injected

A

Vitamin K is injected intramuscularly at the middle anterior lateral part of the thigh of newborns as prophylaxis.

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12
Q

Dose of Vit K given

A

1mg is given to those above 1500g and 0.5mg to babies weighing less than 1500g.

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13
Q

Normal temperature of a neonate

A

36.5°C- 37.4°C.

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14
Q

Problem temperature

which zone

A

35.5 - 36. 4

Yellow

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15
Q

Danger sign temperature

A

<35.5°C and a high temperature ≥37.5°C

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16
Q

When is weighing postponed

A

When baby is cold unnless there’s an urgent need for calculating doses of drug

17
Q

Normal weight

A

greater than 1800g

18
Q

Problem weight

A

Greater than 1500g but less than or equal to 1800g

19
Q

Danger weight

A

Weight less than or equal to 1500g

20
Q

4 major areas in examination of new born

A

Colour of child
Tone and movement of child
Breathing
Cord care

21
Q

Things to do for child in green zone

A 
Maintain normal temperature
Support breastfeeding
Advise about breastfeeding problems
Begin immunization
Reassess the baby and breastfeeding before discharge
Give parents guidance for homecare
22
Q

Layers of clothes for baby

A

1-2 layers more than the mother

23
Q

Major factors in breastfeeding

A

Positioning
Attachment
Frequency

24
Q

What about positioning in BF

A

In each position, the baby’s body should be in a straight line with its head opposite the nipple. Its chin should be touching the breast and its neck not flexed.

25
Q

Signs that milk is enough for baby:

A

The baby is heard to be swallowing during feeding
The breast softens with feeding.
The baby sleeps well between feeding

26
Q

Signs of good attachment are:

A

Baby’s mouth is wide open
Lower lip is turned downwards
Chin is touching breast
>50% of the areola is in the baby’s mouth

27
Q

Frequency of baby feeds

A

Every 3 hours

or

8-12 times daily

28
Q

Treatment for sore or cracked nipples

A

The mother should wash her breasts with water only and use hindmilk to treat her cracked nipples.

29
Q

Yellow zone babies

A

Babies with a temperature of 35.5 to 36.4 °C and a temperature ≥ 37.5 °C

Babies weighing above 1500g to 1800g

Babies with poor feeding

30
Q

When does temperature move from yellow to red zone

A

If temperature improves but does not become normal after 4 hours

If temperature does not improve after the first hour

31
Q

Poor feeding babies

A

Babies who can swallow but cannot suckle and babies with facial anomalies that affect their ability to suckle (e.g. cleft lip and cleft palate)

32
Q

feeding for poor feeding babies

A

Feed the baby with 40-60mls/kg/day of breast milk or 2-5mls per each feed and increase the amount gradually if tolerated by the baby.

33
Q

Hours of storage of breast milk

  • Shelf
  • Fridge
  • Frozen
A

shelf - at most 6 hrs

fridge - 24 hrs

Frozen - 3 to 6 months

34
Q

Signs of red zone babies

A 
Weight ≤1500g
Danger signs
Too hot or too cold
Not feeding
Chest In-drawing
No movement
Seizures
35
Q

What to do if you identify danger signs

A

Antibiotics

Seek advanced care

Paediatric seminar (4 decks)

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